The Open Enrollment Period (OEP) runs from Nov. 1 through Jan. 15 every year. When shopping for what health plan is right for you, it's important to be prepared. It's also a good idea to review your options annually, as your financial and health needs may have changed.
To make choosing the right plan easier, we've created a checklist that will help you familiarize yourself with the essential factors.
When your priority is getting coverage, our priority is having you covered.
Consider career or relationship changes
Getting married or having a baby may change which plan option works best for you. These qualifying life events allow for a Special Enrollment Period (SEP). This is when you can enroll or change your health coverage outside of the Open Enrollment Period (OEP). You should ask about a job-based family plan if you and your spouse are covered through your employer or if you qualify for a subsidy.
Review your family's health care needs
It's important to think about you and your family's health care needs. Some families may need coverage for ongoing or long-term health conditions and others may need coverage "just in case". There are many different plans available, each tailored for different needs. It's important to select a plan that matches your family's requirements.
Look at different health plan options
Each plan comes with a different balance of costs, coverage, and extras. There are gold plans for those who expect to need a lot of health care. This is where you pay a higher monthly premium but less when you get care. Then there are bronze plans for those who want coverage but use few medical services.
Make sure that you look through all the plans offered to ensure that you are choosing the plan that meets your financial and health needs. Learn more about Marketplace metal levels.
Check your eligibility for monthly savings
Some plans offer extra savings based on income.
An Advanced Premium Tax Credit (APTC) is a credit you can take in advance to lower your monthly premium. When you apply for coverage, you estimate your expected annual income. If you qualify based on the expected income, you can use the credit in advance to lower your premium.
You may also qualify for additional savings each time you get care when you choose a Silver plan.
Cost-sharing reductions lower your out-of-pocket costs for things like your deductible, copayments and coinsurance.
- An individual can have an income of $58,320 and still qualify for financial assistance
- A family of four can have an income of $120,000 and still qualify for financial assistance
Look for additional plan benefits and perks
Some plans come with extra benefits with zero added cost that you'll want to take advantage of. One benefit to look for is chronic condition management. With this benefit, you could have access to a range of products, services and prescriptions designed to help manage your condition and continue to live a happy, healthy life. Also, don't miss out on perks like discounts, gym memberships and travel assistance.
Put important dates on your calendar
- Nov. 1: OEP begins for health coverage for the following year. It's the first day you can enroll, re-enroll or change your health plan.
- Dec. 15: The last day you can enroll for coverage beginning Jan. 1
- Jan 16*: The last day you can enroll for coverage beginning Feb. 1; OEP ends
- After Jan 16: You can only enroll or change your health coverage if you qualify for SEP
*OEP ends on Jan. 16 in 2024 due to a federal holiday.
Find your perfect plan with our quiz guide
To discover which MyPriority plan is right for you, take our plan quiz. You'll also receive helpful tips for 2024 OEP.
After going through this checklist, you'll be better prepared and ready to take on this Open Enrollment Period with ease. In the Learning Center, you can read more about how to compare health plans and get help understanding important Marketplace and health coverage terms.
Health coverage 101
- How to save on health coverage
- How to compare health plans
- OEP checklist
- 5 step guide to shopping
- Take a quiz to find your plan
- 5 health plan terms to know
- What's a high-deductible plan?
- Understanding metal levels
- 6 Affordable Care Act key terms
- MyPriority plan benefits
- Chronic condition coverage
- 5 must haves in a plan
- Narrow Network plans
- Coverage for immigrants